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1215129879
LORIELLEN MARIE CONVERSE
GRAND RAPIDS, MI
NPI
1215129879
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: MI 4704194357)
Enumeration Date
2007-08-16
Last Update Date
2007-08-27
Business Address
-- LORIELLEN MARIE CONVERSE RN CNP
970 PARCHMENT DRIVE SE SUITE 203
GRAND RAPIDS, MI 49546-8302
Phone number: 616-949-4840
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Mailing Address
-- LORIELLEN MARIE CONVERSE RN CNP
970 PARCHMENT DRIVE SE SUITE 203
GRAND RAPIDS, MI 49546-8302
Phone number: 616-949-4840
Copy
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